Healthcare Provider Details

I. General information

NPI: 1194242636
Provider Name (Legal Business Name): JESICA LYN ELLISON FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2335 LIMESTONE OVERLOOK
GAINESVILLE GA
30501-7443
US

IV. Provider business mailing address

2335 LIMESTONE OVERLOOK
GAINESVILLE GA
30501-7443
US

V. Phone/Fax

Practice location:
  • Phone: 770-297-0356
  • Fax: 770-297-7564
Mailing address:
  • Phone: 770-297-0356
  • Fax: 770-297-7564

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN232412
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: